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Permit (3) CITY OF TIGARD MASTER PERMIT ' COMMUNITY DEVELOPMENT j =I Permit#: MST2020 00023 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 (/ ^) Date Issued: 01/22/2020 T I.C:a A l [� le �� Parcel: 25111 BA02200 Jurisdiction: Tigard Site address: 9925 SW VIEW TER Subdivision: TIGARDVILLE HEIGHTS Lot: 29 Project: Bakke Project Description: Adding 350 sf to existing bedroom. 8/27/2020: REPRINT permit to add(1)bar sink and(6) additional branch circuits. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: 21 Bathrooms: Second: 350 sf Garage: sf Front: 20 Smoke Dwelling Units: Third: sf Right: 5 Detectors: Yes Total: 350 sf Value: $46,735.83 Rear: 15 PLUMBING Sinks: 1 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0 Bcktlw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0 Ea add.'500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 8 Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0 601-1000 amp: 0 601+amp-1000v: 0 1000+amp/volt: 0 ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description; Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 350 Owner: Contractor: BAKKE,S&L TRUST APA RENOVATIONS INC Required Items and Reports(Conditions) BY BAKKE,STEVEN A&LISA E 1208 MARGUERITE WAY TRS NEWBERG,OR 97132 9925 SW VIEW TER TIGARD,OR 97224 PHONE: PHONE: 541-251-0762 'FAX: Total Fees: $2,218.72 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through •R 952-001-0 0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344..8�'" Issued By� �`� {ayCam—" Permittee Signature: vN 'T/ 17(9.0t) Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the lime of each inspection. Electrical Permit Applicati ji EC 1V ED FOR OE FICE I SE()NIA City of Tigard UN 16 2020Recer 114 e 131 SW Ball Blvd.,Tigard OR 97223 l Date/BReview(0/23/ t •C(76) Permit#�`1S'T7.0 t '' D 00 ,3 a Plan Phone: 503.7182439 Fax: 503.598,1960 nit Date/By: Related Permit#: TI GARU Inspection Line: 503.639.4175 Ready Date/By: Jars' ® See Page 2 fur Internet: www.tigard-or.govR. S . .3 Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction .Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/irems checked): ❑Demolition CI Other: 0 Service or feeder 400 amps or more 0 Building over three stones. where the available auk current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. �"1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building less to ground,or erreeas 1a,0oo ❑Commercial-use agricultural ❑Multi-familyamps for all other installations. buildings. 0 Master builder ❑Other: 0 Fire pump, 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system larger separately derived 0 Addition of new motor load of system Job#: Job site address: 9g 2_5 5,:,, V t el-t) TanizAcE tooHP or more ❑ A,^> t-a t-3 City/State/ZIP: l .Gr rr _SJ7 -T��/� ❑Six or more residential units. occupancy. q ❑Health-care facilities. ❑Recreational vehicle parks. 8 jA t icj" 0 Hazardous locations. 0 Supply voltage for more than SuitP/bldg./apt.#: Project name: ' 600 volts nominal. Cross street/directions to job site: ❑Service or feeder G00 ads or more. FEE SCHEDiJLE Description I Qty. I Each I Total I ' New residential single-or multi-family dwelling unit. Subdivision: -rizikiz_(,)v 1 L-C.tt t- 16H7 ' Lot#: 2_? Includes attached garage. Tax map/parcel#: 1,000 sq.ft,to less 168.54 4 Ea.add'!500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK limited energy,residential 75.00 2 i 4 t IC 'L5"t Ro-rivi � 0 eu o,1T\1 (weds above,sq.m tlti Limited energy,multi-family / 1 residential(with above sq.ft.) 75A0 2 �-,�L� ( / �-5�- `�+'C-l7 Ci/2-[`ce.r3 'lZt /`7S i. tea -/ a,,.f -Renewable Energy 0 see Page z l PROPI RTY OWNER I ;Q TENANT; Services or feeders installation,alteration,and/or relocation Name: , G BA K Ke_- ° Vs .- 200 amps or less 100.70 2 201 Address: .yycc 09-ij 401�sto4D0a i33S6 2 City/State/ZIP: amps to 600 amps 200.34 2 / 601 amps to 1,000 amps 301.04 2 Phone:(9.7 n 5-7 el3?Z(v Fax:( ) Over 1,000 amps or volts 55226 2 Fmssil: i9t�%t r BA rV'-A t L r t=d esn reloc�ati rary services or feeders installation,alteration,and/tar Owner installation:This installati being property that I own which is not 200 amps or less 5936 1 intended for sale,lease,rent, ange,ac to ORS 447,449,67✓ ^�0,and 701. 201 amps to 400 amps 125.08 2 ✓ Owner signature: / n Date: -I 1 401 amps to 599 amps 168.54 2 , APPLICANT ❑ CONTACT PERSON Branch circuits-new,alteration,or extension, r 1 panel ------ A.Fee far branch circuits.with Business name: above service or feeder fee, each branch circuit 7.42 2 Contact name: B.Fee for branch circuits without Address: service or feeder fee,first � 56:I8 2 branch circuit Ar City/State/ZIP: Each add'l branch circuit e 7.42 2 Miscellaneous(service or f Phone:( ) ---- I Fax::( ) Each manufactured or modular t dwelling,service and/or feeder 67.84 2 Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: /i.n/4 i.e-iv of 1 T7 S Sign or outline lighting 67.84 2 Address: l © . yy Signal circuit(s)or limited-energy ❑ 2 2 CS P}^(2.eSt/G-1�.t're- £lJ f panel,alteration,or extension. S4te Page City/State/ZIP: /v Z1JJ 9 7 i 3 2- Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:(61f1 ) 2.c 1 07 6 Z Fax:( ) Investigation(I hr min) 90.00/hr Email: Industrial plant(I hr min) 7&18/hr Inspections for which no fee is CCD90.00/hr Lie.: Z t 3 775-- Electrical Lie,: Suprv.Lie,: spet.i0cally listed CA hr min) ELECTRICAL PERMIT FEES Suprv.Electrician signature,required: Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: .� —. TOTAL PERMIT FEE: S T ¢ e e 4 l Z This permit epys after expireshsda accepted is comHaie, within ISO V Print name: C6.v Date: e, days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Buildag\PermitstELC_PsrmitApp ELR ERE.doc Rev 06/17/2015 440-4615(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2-Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SClfEntn E nrec Iptbn I QO. I Each I Total ' .:: Fee for all residential systems combined: $75.00 Renewable electrical energy systems: Check Type of Work Involved: s kva or less 100.70 2 5.01 to 15 kva 133.56 2 n Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: n Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva Garage Door Opener* 552.26 2 >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 ❑ Heating, Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 n V• acuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: n O• ther: Each additional inspection is 66251 fir charged at an hourly(I hr min) Inspections for which no fee is 90 pp/fir specifically listed(Yz hr min) COMMERCIAL WORK ONLY: ELECrtu oL PERMIT on FEES Fee for each commercial system: $75.00 Subtotal(]inter on Page 1): (SEE OAR 918-309-0000) ' Number of imp—atom;allowed per permit Check Type of Work Involved: n Audio and Stereo Systems n Boiler Controls n Clock Systems n Data Telecommunication Installation n Fire Alarm Installation n HVAC ❑ Instrumentation n Intercom and Paging Systems ❑ Landscape Irrigation Control* n Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* n Protective Signaling ❑ Other: Total number of commercial systems — *No licenses are required. Licenses are required for all other installations 1:\Eluitding\Permila'LLC_PermitApp_ELR_ERE.doc Rev 06/112015 Plumbing Permit Application Building Fixtures V E O ,,)R oFr•ICE rsF; flsl_, City of Tigard , iteraived Petmit NoH5 rum - b00;3 ■ 13125 SW Hall Blvd.,Ti )UN 1 6 202Q naterBy /Z`3/Z� .�C� Tigard,OR 97223' Plan Review • Phone: 503.718.2439 Fax: 5035 60 Other Permit No.: Inspection Lice: 503.639.4175 7 I,, 07 i� Date/fly:T I G A R D Date Ready/By: Jurir IO See Page 2 for Internet www.tigardor.gov g Notitied/Method: Supplemental information TYPE OF WORK FEE* SCHEDULE 0 New construction ❑Demolition For.special information use checklist Description 1 Qty. 1 Ea. I Total .Mddition/alteration/replacement 0 Other. New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 -and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 50032 ❑Master builder -- Each additional bath/kitchen 25.02 0 Other: Fire sprinkler sp� sq.ft:) Page 2 J08 SITE INFORMATION AND LOCATION Site utilities: Job site address: 9925 5� view TT1t=� Catch basin or area drain t8.76 TiDrywell,leach line,.or trench drain 18.76 C;�,/StatefLIP: i i af2._ 9 77- -�i �T' Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: RA Kie.6Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear.ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: Tt,t A-p_Q U'I t,1..6' He 16 ieM I Lot no.: 29 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 i v is i I s Backwater va}ve 12.51 t. . / j Clothes washer 25.02 -t 1- zc t Rot A-O)i f co.)._ / `1,.� (iJ 4-3 A 1 L f.v.� (- "4 a- Dishwasher 25.02 _ } thinking fountain 25.02 ' M S'%.2C1 e nQo?3 L(414-1 Ejectors/sump 25.02 ,PROPERTY OWNER I 0 TENANT Expansion tank 12.51 Name: 5 Gf(` BA Tr2i js. i Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: . ,,,,i 'h CS A1-5 4.1,9c1 t City/State/ZIP: Garbage disposal25.02 Hose bib 25.02 Phone:(9 T1)ry-`70 37 L67 Fax:( ) Ice maker 12.51 �y APPLICANT 0 CONTACT PERSON 7,,v Interceptor/grease trap 25.02 Business name: _ Medical gas(value:$ ) Page 2 Primer 12.51 Contact name: _ Roof drain(commercial) 12.51 Address: Sink/basin/lavatory 6j412... / 25.02 City/State/ZIP: Solar units(potable water) 62.54 Phone:( ) Far::( ) Tub/shower/shower pan 12.51 E-mail: 6 0-7-t./120011.,, . 13A/{t4 C 6jb ►/f/Z-- ,.COWL Urinal 25.02 CONTRACTOR Water closet 25.02 Water Business.name; eteA- t2 7vov lzC»us Water pipinipiu 56.29 g/DW V 56.29 Address: 12.ci S "Pt/ -!LG fig f2 L'' IoV/- f Other: 25.02 City/State/ZIP: /.,p i.,e02.6 CaQ 9 7 13 Z Subtotal Phone:(S i' 35 I D7 b . Fax:( )- Minimum permit fee: $72.50 CCB Lic.: .p)„ Plan review (25%of permit fee) Zt3 7•7s b;ngL;c.tro.: State surcharge(12%of permit fee) Authorized signature: TOTAL PERMIT FEE Print name: STUVE BA w_ Date: v A-M 7�..� This permit application expires if a permit Is not obtained within 180 days CO3 L+V after it Ias been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board 1:1Bui,ding\Permits\PLMt1-PamiiApp,doc IO/O1109 440 616T(IOIO2/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qt.Y xee fu) ° ' Square Footage:, Permit Fee: Footing drain-1"100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 S233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee' Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee[ea) Fetal each additional$100.00 ar fraction thereof,to Other Inspections or Fees' and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the fast$25,000.00 and$1 A5 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge-1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review fur Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Repbe/ Please check all that apply. Work Performed: Capped Added Reloeatr ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower -Jacuzzi/Whirlpool engineer. Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure as defined in OAR918-780-0040. -Drive Thnr Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher Commercial ❑ Any multiput pose fire sprinkler system. Domestic El Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric Or Riser Diagram 4 ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Ice MachiRefrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) AFDQ iT7 ,. Sl hJ k- I' Rec.Shower:hicle Dump Station [ jLJ -014-6C N/ - l / -Gang /1-)07 Gt21.6t/1hC- + Stall Sink: -LavBar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swirnnrimg Pool Filter-- increase of sewer EDUs,a sewer permit will be issued and Water ExtractorWasher-Clothes - fees assessed for the sewer increase must be paid before the Water Closet-Toilet plumbing permit can be issued. Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 /iS i 22 Z.6 -Odc/c713 Dianna Ornelas From: #Building Permit Technicians Sent: Tuesday, June 23, 2020 5:05 PM To: Lisa Bakke Cc: steve bakke; #Building Permit Technicians Subject: RE: Changes to Permit#MST2020-00023 - 9925 SW View Terrace Attachments: MST2020-00023.pdf Hello Lisa, The additional sink and branch circuits have been added to this permit and the balance due is$77.88 (see attached invoice). The fees can be paid online at https://aca.accela.com/TIGARD/Welcome.aspx by searching for the permit record number MST2020-00023 under the Building tab. Please email the permit technicians at TigardBuildingPermits@tigard-or.gov once the fees have been paid so that we can reprint the revised permit. Thank you. Dianna L. Ornelas(Howse) Building Division Services Supervisor City of Tigard I Community Development 13125 SW Hall Blvd I Tigard, OR 97223 503-718-2430 Direct 1503-718-2439 Permits From: Lisa Bakke <lbakke56@gmail.com> Sent:Tuesday,June 16, 2020 4:40 PM To: steve bakke<geturdone.bakke@gmail.com>;#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject: Re: Changes to Permit#MST2020-00023 -9925 SW View Terrace Caution!This message was sent from outside your organization. See attached documents for electrical and plumbing additions to our permits. Also -did you get drawings and permit form for the 12" sliding glass door I dropped off at your office last week? On Tue,Jun 16, 2020 at 3:33 PM Steve bakke<geturdone.bakke@gmail.com> wrote: 1 BOCKEY LLC Home Repair and Renovation 971-570-3726 Forwarded message From: #Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Date: Mon,Jun 15, 2020 at 2:36 PM Subject: RE: Changes to Permit#MST2020-00023 -9925 SW View Terrace To: steve bakke <geturdone.bakke@gmail.com> Hi Steve, We will need you to complete new Electrical and Plumbing Permit Applications attached above for us to revise your current permits. Please include the permit number on the application and describe the changes in the "Description of Work" section. Also, please be sure to sign, print and date the applications. Thanks, Branden Taggart City of Tigard ■+ =i Senior Permit Technician Community Development 13125 SW Hall Blvd Tigard,OR 97223 (503)718-2449 brandentiPtigard-or.g ov From: Steve bakke <geturdone.bakke@gmail.com> Sent:Thursday,June 11, 2020 2:05 PM To:#Building Permit Technicians<TigardBuildingPermits@tigard-or.gov> Subject:Changes to Permit#MST2020-00023 Hello Branden, 2 Y f On last inspection done by David Young the following changes per David should be made to our permit. RE: plumbing Remove plumbing contractor(Riverman) from permit and use owner's name-Steve Bakke, Bockey LLC. RE: Electrical Add 6 circuits to permit(per David). In addition and separately earlier this week, we have submitted the drawing for the exterior sliding door to be a part of our permit. We can make payment either by phone or in person. David suggested we may be able to move forward with inspections prior to completion of changes/additions to our account. Thanks for your help, -steve 971-570-3726 BOCKEY LLC Home Repair and Renovation 971-570-3726 DISCLAIMER: E-mails sent or received by City of Tigard employees are subject to public record laws. If requested, e- mail may be disclosed to another party unless exempt from disclosure under Oregon Public Records Law. E-mails are 3 retained by the City of Tigard in compliance with the Oregon Administrative Rules "City General Records Retention Schedule." 4 11111 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT Permit#: MST2020-00023 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439Date Issued: 01/22/2020 Tt�IRL� Parcel: 2S111 BA02200 Jurisdiction: Tigard Site address: 9925 SW VIEW TER Subdivision: TIGARDVILLE HEIGHTS Lot: 29 Project: Bakke Project Description: Adding 350 sf to existing bedroom. BUILDING Floor Areas Required Setbacks Required Stories: Bedrooms: First: sf Basement: sf Left: 5 Parking Spaces: Height: 21 Bathrooms: Second: 350 sf Garage: sf Front: 20 Smoke Dwelling Units: Third: sf Right: 5 Detectors: Yes Total: 350 sf Value: $46,735.83 Rear: 15 PLUMBING Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0 Lavatories: 2 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0 Drains. 0 Tubs/Showers: 1 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 0 Other Units: 1 Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0 Furn>=100K: 0 ELECTRICAL Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits 1000 sf or less: 0-200 amp: 0-200 amp: W/Svc or Fdr: Ea add'I 500 sf: 201-400 amp: 201-400 amp: W/O Svc/Fdr: Mfd Home/Feeder/Svc: 401-600 amp: 401-600 amp: 601-1000 amp: 601+amp-1000v: 1000+a m p/volt: ELECTRICAL-RESTRICTED ENERGY SF Residential Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All Other: N Other Description: Ecompasing: N BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: ALT SF VB R-3 350 Owner: Contractor: BAKKE,S&L TRUST APA RENOVATIONS INC Required Items and Reports(Conditions) BY BAKKE,STEVEN A&LISA E 1208 MARGUERITE WAY TRS NEWBERG,OR 97132 9925 SW VIEW TER TIGARD,OR 97224 PHONE: PHONE: 541-251-0762 FAX: Total Fees: $2,095.84 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspende• o more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ..se rules - e --t forth in OAR 952-001-0010 through OAR 952-001-0090, You ma • a co. • s-rules or direct questions to OUNC by calling 503.232.198 .0.800.332.23 4/ AO Issued Br � L �r Permittee Signature: ,` Y--- c: -0. .39.4175 by 7:00 a.m.for the next available inspe •n date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application RECEIVED '. Residential FOR OFFICE USE ONLY Ci of Tigard JAN 7 "l(ll l Received nffnir,Z� UPI13125 SW Hall Blvd.,Tigard,OR 97223 CITY OF TIGARD Plan Review Phone: 503.718.2439 Fax: 503.598.19 G ) ' t UILDING DIVISION Date/By: L �- t I GA I:I Inspection Line: 503.639.4175 Dare ReadyBy: Ju<�: See Page or Internet: www.tigard-or.gov Notified Method: j rA Supplemental Information TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING ❑New construction ❑Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all O Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead a d the rofit for the CATEGORY OF CONSTRUCTION work indicated on this application. 9G/7 35 Valuation: $ ig1-and 2-family dwelling 0 Commercial/industrial / ❑Accessory building 0 Multi-family Number of bedrooms: ' t x`5 f ❑Master builder ❑Other: Number of bathrooms: 2.. e.y r c;-1-- JOB JOB SITE INFORMATION AND LOCATION Total number of floors: '�. pc( sr , Job site address: C. et ZS' 5W v 1,e u) [-e New dwelling area:`2>9 v, square feet City/State/ZIP: ---1- {;YG.\/,S V o i 2,,z)._f 1-1%I Garage/carport area: square feet Suite/bldg./apt.no.: Project name: "--VDGt.K.y_,..2- Covered porch area: square feet U Cross street/directions to job site: S l,l) t bb(4'tt Deck area: S. ) square feet k 'fzS I tW . . JI yNiNr �/7 &t�is�St3h4-� Other structure area: square feet It i S yew,er IIT 0)4 �//G i f A/ ����'(/�fi- he<A y, _ REQUIRED DATA:COMMERCIAL-USE CHECKLIS Subdivision: ` VA.GAS +Nat•1A,a ,ct`,x,,i5 Lot no.:(. 5b i,2 Permit fees*are based on the value of the work perfo • ed. Tax map/parcel no.: �� Q� --0 app Indicate the value(rounded to the nearest dollar)o , 1 equipment,materials,labor,overhead,and the . •fit for the S DESCRIPTION AOF�Wr�ORK A / work indicated on this application. --4A -“,/ f ' 'LS Rvo.'1 r-I'0 v 1 i7��,�l. Valuation: $ �1 /�y� 3 5 0 j f 17) . (/��/ /d /a 9r,t1ai Existing building area: square feet YLII/ J I 7 f7 Ir-VV New building area: square feet pi,PROPERTY OWNER 0 TENANT Number of stories: Name: S.) ;,2tl,Q_ .>- \..A. "„RDA,1.,V..Q._ Type of cons tion: Address: h2,‹ 8,1,0 kyo 1 v,/ Occupan••groups: City/State/ZIP: 1—;c .vs. (A...._ crl 1,D.c -xisting: Phone:(5 9 ) M$f'..C,3° Fax:( ) New: 0 APPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES* (Please refer to fee schedule_) Business name: Structural plan review fee(or deposit): Contact name: FLS plan review fee(if applicable): Address: Total fees due upon application: City/State/ZIP: Amount received: Phone:( ) Fax::( ) PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES* E-mail: Commercial and residential prescriptive installation of r--/ CONTRACTOR roof-top mnted PhotoVoltaic Solar Panel System. Business name: /iQ I Rem ry `h, 0 t Submit two j2)sets of roof plan with connection details i ) and fire department access,along with the 2010 Oregon Address: i .0 g 04 A 1.),07( IT-. 6t y Solar Installation Specialty Code checklist. City/State/ZIP: JC 97 )5�/ Permit Fee(includes plan review $180.00 and administrative fees): Phone:(5-(11,2.5-i 076 Fax:( '"}� State surcharge(12%of permit fee): $21.60 CCB lie.: Zi 7 0 Lj 1 1,;").11.., Total fee due upon application: $201.60 Authorized signature: ,,,,,,-7--.'' 9 This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: hi1E X1141 1 S Date: t I.-9-4- ICI *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) Mechanical Permit Application FOR OFFICE USE ONLY City of Tigard EC E IV E D Received Date/By: ) +,f Permit Nu.: c 13125 SW Hall Blvd.,Tigard,OR 97223 1 Plan Review iJ ■., Phone: 503.718.2439 Fax: 503.598.1960 JAN 2U20 Date/By: Other Permit: I i c;A RD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information nt in nlbl .. 1111/1W-M T E OF WORK COMMERCIAL FEE* SCHEDULE - USE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition ❑Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CATEGORY OF CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* 2/1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family ❑Master builder ❑Other: Description Qty. Ea. Total JOB SITE INFORMATION AND LOCATION Heating/cooling: _ Air conditioning 46.75 tl C Job site address: c, 5 (5 L4/ i!)"i a..) -1-e iv' Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: ''77 ff t-V ( Ci Y C( 7;-a- L(' Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: V Project name: �EJ4,t (-f— Heat pump 61.06t work ( 23.32 Cross street/directions to job site: 5 0 ICO s (---, Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Subdivision: Lot no.: er 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 DESCRIPTION OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas 4-cl,ft 9-- L 3S S-41 7:4 . fireplace 23.32 }� ' r 'A n / n Log lighter(gas) 23.32 lam'd ,`"� U)�tr` l ��' 'tl Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Oth .PROPERTY OWNER ❑ TENANTS' 23.32 Environmental exhaust and ventilation: Name: ii•e 1✓ Li J CL Zb�;� Range hood/other kitchen (� equipment 33.39 Address: f Lj 5L) V) `e GO (,,,0 V v Clothes dryer exhaust 1 33.39 City/State/ZIP: l �/ 7Gl-a Single-duct exhaust(bathrooms, """ l toilet compartments,utility rooms) 23.32 Phone:(5 03) 6-'56-'-is--- s5 -v(3 (. 7 Fax:( ) Attic/crawlspace fans 23.32 13Q APPLICANT ❑ CONTACT PERSON Other: 23.32 Fuel piping: Business name: $14.15 for first four;$4.03 for each additional Contact name: j s5 . j { ji Furnace,etc. Address: 2 l�s- ,) IA'ea) � j VIC Gas heat pump WalUsuspended/tmitheater City/State/ZIP: 'Ti' a..vJ t of 97(3- y Water heater Phone:( )3) �c e -' Fax::( ) Fireplace t Range E-mail: toe,!( _ Z L4,tC2.t1 , !jh-4 t Barbecue CONTRACTOR Clothes dryer(gas) �l�-- 12e kt:>UGf:hG �,k_� Other: Business name: TC 1' MECHANICAL PERMIT FEES* ..33:xi Address: jam()'- ALA Oa-y Subtotal City/State/ZIP: /J J l x t g 11 3 Minimum permit fee($90.00) /`^-` Plan review(25%of permit fee) Phone:(3-q0 Z`7 1 (y.Z Fax:( ) State surcharge(12%of permit fee) CCB lic.: a ('?p`j� TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Authorized signature: �- r� * Fee methodology set by Tri-County Building Industry Service Board Print name: — ' ,4.1 Date:f 7 2— ZQ I:\Building\Permits\MEC_PennitApp_040113.doc 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. 1::\Building\Permits\MEC_PennitApp_040113.doc 2 Electrical Permit ApplicationIECEIVED ,-()ROl l ICL l SI. 1)y1.1 City of Tigard t�'77 Received Eff. iall • 13125 SW Hall Blvd.,Tigard, JAN 2 2 202 OR 97223 DateB ' r ��i �� Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/B : 01111 Inspection Line: 503.639.4175 Read DateB .runs: gl See Page 2 for IICrARll Internet: www.tigard-or.gov �tG'ITYOFTIGARD Notified Method: Supplemental information YPE OF WUICK ZINC DIVISION @ PLAN REVIEW 0 New construction Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked): 0 Service or feeder 400 amps or more 0 Building over three stories. ❑Demolition ❑Other: where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural ❑Multi-family ❑Master builder amps for all other installations. buildings. ❑Other: ❑Fire pump. 0 Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived Q ea��, ` ,/��i-e vv 0 Addition more.motor load of system. Job#: Job site address: L ` w V 1ooHP or more. ❑system. City/State/ZIP: "i't.v C V n -D-`-( s ❑Six or more residential units. occupancy. cretion 1 ❑Health care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: Project name: 1,<)4., 1/ n, 0 Hazardous locations. 0 Supply voltage for more than [�� ❑Service or feeder 600 amps or more. 600 volts nominal Cross street/directions to job site: ) I ce}- 5 L FEE SCHEDULE "f Description I Qty. l Each I Total I " New residential single-or multi-family dwelling unit. Subdivision: Lot#: Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less 168.54 4 Ea.add'l 500 sq.ft.or portion 33.92 1 DESCRIPTION OF WORK Limited energy,residential 44L_m4 3!Jv (with above sq.ft.) 75.00 2 v ) St- VVV�� Limited energy,multi-family residential(with above sq.ft.) 75'00 2 (PROPERTY OWNER ❑ TENANT Renewable Energy 0 See Page 2 Services or feeders installation,alteration,and/or relocation Name: ( -rLt 5 A et,4e. 200 amps or less 100.70 2 Address: a,q 'Sc.) V 6 e "Fe or, 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: t(` elCv A l. /./ al -7..1-a-Cl 601 amps to 1,000 amps 301.04 2 Phone:( 57)3 ggg-, R 3( l/ Fax:( l ) Over 1,000 amps or volts 552.26 2 `��� �i ^ Temporary services or feeders installation,alteration,and/or Email: 1_10a..v. , C-r/v, relocation Owner installation:This installa' is bei m e on property that I own which is not 200 amps or less 59.36 1 intended for sale,lease,ren Chang rding to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner signature: �./'` G..---- Date: /-- 2_Z —2 d 401 amps to 599 amps 168.54 2 / PLICANT ❑ CONTACT PERSON Branch circuits—new,alteration,or extension,per panel ✓ A.Fee for branch circuits with Business name: above service or feeder fee, 7.42 2 Lr j� each branch circuit Contact name: }..e 4 ,-c� 1 J t tin B.Fee for branch circuits without seAddress: LC _ S t� I)Ox-E. branch it feederitfee,first c�"O � A. V v� branch circuit I 56.18 2 City/State/ZIP: Each add'I branch circuit ( 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) Fax::( ) Each manufactured or modular 67.84 2 dwelling,service and/or feeder Email: Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name: Sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy Address: panel,alteration,or extension. 0 See Page 2 2 City/State/ZIP: Each additional inspection over allowable in any of the above Additional inspection(1 hr min) 66.25/hr Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr Email: Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is hr CCB Lic.: Electrical Lie.: Suprv.Lic.: specifically listed('h hr min) 90.00/ Suprv.Electrician signature,required: ELECTRICAL PERMIT FEES Subtotal: Print name: Date: 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I:\Building\Permits1ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 440-46151(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: RESIDENTIAL WORK ONLY: FEE SCHEDULE Description ( Qty. Each ( Total I * Fee for all residential systems combined: $75.00 Renewable electrical energy systems: 5 kva or less 100.70 2 Check Type of Work Involved: 5.01 to 15 kva 133.56 2 ❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 Wind generation systems in excess of 25 kva: ❑ Burglar Alarm 25.01 to 50 kva 301.04 2 50.01 to 100 kva 552.26 2 Fl G• arage Door Opener* >100 kva(fee in accordance with OAR 918-309-0040) 552.26 2 n H• eating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva: System* Each additional kva over 25 7.42 3 ❑ Vacuum Systems* >100 kva-no additional charge 0.0 3 Each additional inspection over allowable in any of the above: ❑ Other Each additional inspection is 66.25/hr charged at an hourly(1 hr min) Inspections for which no fee is 90.00/hr specifically listed(r/z hr min) ELECTRICAL PERMIT FEES COMMERCIAL WORK ONLY: Subtotal(Enter on Page 1): Fee for each commercial system: $75.00 * Number of inspections allowed per permit. (SEE OAR 918-309-0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems n D• ata Telecommunication Installation n F• ire Alarm Installation ❑ HVAC ❑ Instrumentation n Intercom and Paging Systems n Landscape Irrigation Control* El Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations L\Building\Permits\ELC_PennhtApp_ELR_ERE.doc Rev 06/17/2015 Plumbing Permit Application Building Fixtures RECEIVED FOR OFFICE USE ONLY • City of Tigard REiew eived DPermitNo.:/ 5J-a3 13125 SW Hall Blvd.,Tigard,OR 9722IAN 72020 / " C Ls Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit No.: TRc ARD Inspection Line: 503.639.4175 CITY OF TIGARD Date Ready/By: Juris: H See Page 2 for Internet: www.tigard-or.gov RI li{ [)IIU( DItf{SInN Notified/Method: Supplemental Information TYPE OF WORK FEE* SCHEDULE For special information use checklist 0 New construction 0 Demolition Descri,tion S . Ea. Total ig/Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTRUCTION SFR(1)bath 312.70 Del-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath 500.32 ❑Master builderEach additional bath/kitchen 25.02 0 Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 4q. Su) 't�,p Catch basin or area drain 18.76 Drywell,leach line,or trench drain 18.76 City/State/ZIP: ----'4 ,i{ ), /q/ 4 1 l lJ� Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: Project name: `y_._) Manufactured home utilities 50.03 Cross street/directions to job site:GO r !% Manholes 18.76 Rain drain connector 18.76 Sanitary sewer(no.linear ft.:_) Page 2 Storm sewer(no.linear ft.:_) Page 2 �p(( ,, Water service(no.linear ft.:_) Page 2 Subdivision: Ct4Y,` k, 1 Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 d Clothes washer 25.02 "" a ®_e��,Q.� �� 'c r.,,,'.,,/ Dishwasher 25.02 F-G'XG��'(,C. ` 1 CA- tV-1 -S/gie Y ' Drinking fountain 25.02 // Ejectors/sump 25.02 PROPERTY OWNER 1 I 0 TENANT Expansion tank 12.51 Name: �_ i- `:1'1/4.- �C `C Fixture/sewer cap 25.02 Address: CIA lc"" SrA) 6\4,A)1-4 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: *-1-cc V 1 , O"( ct-i a-- Hose bib 25.02 Phone:(t5'Ll'?j) ci'"_c' - (e SCL 1 ax:( ) Ice maker 12.51 7 APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name: Medical gas(value:$ ) Page 2 �` Primer 12.51 Contact name: L%5C� VX.4_ j Roof drain(commercial) 12.51 Address: qg ZS"�G(7 ��k)i.e v f / Sink/basin/lavatory F/ 25.02 ✓ City/State/ZIP: ,..41 •l C 7a-a- Solar units(potable water) 62.54 Phone:( ) 3G1 Fax::( ) Tub/shower/shower pan 12.51 7 E-mail: l-b<,.v-K-Q.sg ec Dr 1 t fri Urinal 25.02 1 x Water closet 25.02 CONTRACTOR .4 ,R.» Water heater 37.52 Business name: "sir/5 V .-L L Water piping/DWV 56.29 Address: Aze_ c71.; Other: 25.02 y City/State/ZIP: � z v ' Subtotal Phone:I -� Fes;( ) Minimum permit fee: $72.50N , l01) , . (25%of CCB Lic.: '7" Plan reviewpermit bing Lie.no.: A S fee) State surcharge(12%of permit fee) Authorized signature: ' j I 1 /// // TOTAL PERMIT FEE Print name. r Datet 2.71,-2.0This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information , Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-151 100' 50.03 0 to 2,000 $121.90 2,001 to 3,600 $169.69 Footing drain-each additional 100' 37.52 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 6254 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or Fees and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool 0 New exterior plumbing site utilities for any complex structure Car Wash: -Each Stall as defined in OAR918-780-0040. -Drive Thru 0 Medical gas and vacuum systems for health care facilities. Cuspidor/Water Aspirator 0 Any multipurpose fire sprinkler system. Dishwasher: -Commercial 0 Any complex structure as defined in OAR918-780-0040. -Domestic Drinking Fountain Submit 2 sets of plans with any of the above. Eye Wash Floor Drain/sink: -2" 3„ Isometric or Riser Diagram 4" 0 Isometric or riser diagram is required for new buildings -Car Wash Drain that meet the qualifications above. Garbage -Domestic non-food Disposal: -Domestic food related -Commercial food related -Industrial food related Comments regarding fixture work: Ice Mach./Refrig.Drains Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor plumbing permit can be issued. Water Closet-Toilet Urinal Other Fixtures: I:\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 City of Tigard 111 . . u COMMUNITY DEVELOPMENT DEPARTMENT TIGARD Building Permit Review — Residential Building Permit #: ,4j.gyp 22 7 r ja i Site Address: qq 2S Svc V ie W T-c1-. Project Name: V-- e-, ,\-�Qr w1 Lot #: Planning Review Proposal: 3SO SF ficolce 1-h. tLVerify address/suite# active in Accela. In River Terrace: X No ❑ Yes,River Terrace Review Addendum Site Plan Elements: ""'... •sion Control O�z+ .,Fopies of site plan on 8-1/2"x 11"or 11 x 17"paper F-' t -tained trees with drip line and tree protection measures -:. •rawn to scale(standard architect or engineer scale) MS ootprint of new structure(including decks)ancfPFE ANorth arrow JUtility locations&easements(required for new and additions) /Site address,project or subdivision name and lot number Sidewalk/driveway approach Applicant information(name and phone number); 1;1systems Iaot dimensions and building setback dimensions A_ eet tree size,type and location t'J P quare footage of buildings to be demolished IR Street names Axisting structures on site .rner elevations(2'contours if more than 4'differential) 1! 4.t area,building coverage area,percentage of coverage and >1,000 sf of impervious area created or replaced? PI s No impervious area(applicable if R-7,R-12,R-25&R-40) If yes,is a storm water quality facility shown? ❑ eINo Clean Water Services-Service Provider Letter (lot platted prior to 9/10/1995): Required: ,JZ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No KfrWater Meter Fixture Unit Worksheet-Additions,Remodels and ADUs -1101"(Add t''`oj a-vt L Required: ❑ Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No 1\146\-SDC Exemption for ADU applied for: ❑ Yes ❑ No Received: ❑ Yes ❑ No xtPublic Facilities Improvement (PFI) Permit: Required: ❑ Yes,applicant was notified X No Applied For: ❑ Yes ❑ No,stop intake NII and Use Case#: 'tl- Zoning: R J- rid Required Setbacks: Front: 20 Rear:16 Side: S Street Side: NM- Garage: t'J I/"- 0 Building Height: Max. Height: f) Actual Height: 2- Landscape Area: % l 'of Coverage Max: Entrance ■ Set back n more than 8'from street-facing wall ❑ Parallel to street or offset 45 degrees or less Windows r6 - . um 2%of area of all street-facing facades Garage ■ Gar. e d or is be,'nd widest street-facing wall ❑ Yes ❑ No,one of the following is met: ■ Do r exte s o more than 5'from wall and there is a covered porch extending beyond garage. Ni Dor exte, 5 ••: e than 5'from wall and there is a 12 sq ft.window above garage on 2nd floor. ❑ Garage oor wi i is ❑ 12'or less ❑ 50%or less of facade ❑ 60%or less and includes 7 of following: ❑ C vered j orch ■ Recessed entrance ❑ Wall offset 5 1'Roof eave ❑ Roof offset ❑ e shingles IIIA Lap Siding ❑ Roof pitch ❑ Gable,hip,or gambrel roof ❑ Dormer ❑ Accent siding ❑ Window trim ❑ Window recess ❑ Window projection ❑ Balcony Visual Clearance Urban Forestry Plan .n,'Svensitive Lands: ❑ Yes No Type: -Conditions met prior to issuance of building permit Notes: _ ❑ Approved By Planning: /1'1 (9--\--'\---- Date: ` 17 / Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_122419.docx Building Permit Submittal Original Submittal Date: „' Site Plans: # Building Plans: Building Permit#: ► titer building permit#above. Workflow Routing: ii Planning Engineering Permit Coordinator ,uilding Workflow Sign-off: Sign-off for Planning(include notes from planning review) Route Application Documents: pp Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. CrBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: / . / X By Permit Technician: �,4�/ ALE' /� I? Date: 1 Engineering Review X Slope at building pad: [I Conditions "Met"prior to issuance of building permit C( Easements (encroachments) per engineering conditions of approval and plat X Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes tgr No Assess Water Quantity Fee in-lieu: ❑ Yes 21 No LIDA Facility on lot: ❑ Yes Ni No Final Plat Recorded: ❑ NOT Approved by Engineering: Date: Notes: g Approved by Engineering: Bract, 86c(lity.r Date: / - g • z o 20 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Permit Coordinator Review El Conditions "Met"prior to issuance of building permit ❑ Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: ❑ Exemption: ❑ Received ❑ Does not apply SDC Fees Entered: Wash Co Trans Dev Tax: ❑ Yes 14V;N/A Tigard Trans SDC: ❑ Yes E'/N/A Parks SDC: ❑ Yes A LIDA ElYes �,Pv/N/A ❑ K to Issue Permit /)° Approved by Permit Coordinator: L•\Building\Forms\B1dgPermitRvw RES 122419.docx Branden Taggart From: steve bakke <geturdone.bakke@gmail.com> Sent: Wednesday, January 22, 2020 11:52 AM To: #Building Permit Technicians Subject: Building Permit RE: MST2020-00023 Caution!This message was sent from outside your organization. Hello Branden, The name of our plumbing contractor is: Riverman Plumbing Benjamin Riverman 503-820-1274 When I talked to him today, he thought the CCB was 223636. Please look up to verify. Thanks, Steve BOCKEY LLC Home Repair and Renovation 971-570-3726 1